Organization
BLOOM & GROW THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDELMYS DIAZ (OWNER)
(239) 218-6396
Entity
Organization
Contact information
Practice address
3637 DEL PRADO BLVD S STE 305, CAPE CORAL, FL 33904-7199
(239) 218-6396
Mailing address
3637 DEL PRADO BLVD S STE 305, CAPE CORAL, FL 33904-7199
(239) 218-6396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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